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General NPI Number Information
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NPI Number | 1467965186
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Entity Type | Organization
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Legal Business Name | L & B HEALTH ANGELS INCORPORATED
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Dates
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Enumeration Date | 11/16/2017
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Last Update Date | 04/12/2021
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Provider Practice Location Address
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Address Line | 10303 JENNIFER CIR
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City | FORNEY
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State | TX
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Zip | 75126-7821
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Country | US
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Telephone | 469-667-0379
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Fax |
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Provider Business Mailing Address
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Address Line | 6850 N SHILOH RD STE R
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City | GARLAND
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State | TX
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Zip | 75044-2918
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Country | US
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Telephone | 469-573-4215
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Fax |
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Authorized Official
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Title or Position | OWNER/GOVERNING BODY
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Name | LUKEYSHA D ISAAC
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Credential | REGISTERED NURSE
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Telephone | 469-573-4213
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 372600000X
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Taxonomy Name | Adult Companion
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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